Stonecreek Dental of Alabama
NPI 1689217309ActiveOrganization· Dentist· Vestavia Hills, AL
Dentist in Vestavia Hills, Alabama, registered in NPPES in October 2019, part of Stonecreek Dental of Alabama. The authorized official on file is Veronica Jackson, Credentialing Manager.
Overview
| NPI | 1689217309 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Stonecreek Dental of Alabama |
| NPI issued | Oct 25, 2019 |
| Last updated in NPPES | Oct 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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